Prioritizing patient problems is usually based on
Maslow's hierarchy of needs.
the nurse-to-nurse report.
nonspecific data collection..
managerial influence.
The Correct Answer is A
A. Maslow's hierarchy of needs:
This statement is true. Prioritizing patient problems is often based on Maslow's hierarchy of needs, which categorizes human needs from basic physiological requirements to higher-level psychological needs. Patients' immediate and essential needs, such as airway, breathing, and circulation, are prioritized over other needs based on this framework.
B. The nurse-to-nurse report:
This statement is incorrect. Nurse-to-nurse report is essential for continuity of care, but it is not the basis for prioritizing patient problems. Prioritization is based on the patient's immediate needs and safety concerns.
C. Nonspecific data collection:
This statement is incorrect. Prioritization is based on specific data collected during the assessment, including physiological measurements, symptoms, and patient history. Nonspecific data collection wouldn't provide the necessary information for effective prioritization.
D. Managerial influence:
This statement is incorrect. While managers might provide guidelines and policies, the direct care nurse at the bedside typically prioritizes patient problems based on clinical judgment, immediate needs, and the nursing process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A semi-dependent nursing action: This term doesn't have a standard meaning in nursing. Nursing actions are generally categorized as independent, dependent, or interdependent.
B. An independent nursing action: Independent nursing actions are activities that nurses are licensed to initiate on the basis of their knowledge and skills. These actions don't require a physician's order. Giving a back massage, in many cases, falls under the category of independent nursing actions. Nurses often assess the patient's condition and, if appropriate, can provide interventions like massages to enhance comfort and well-being without needing a specific order.
C. A dependent nursing action: Dependent nursing actions are activities that require a physician's order or another healthcare provider's directive. Nurses perform these actions under the physician's supervision or guidance. Giving a back massage might require a specific order in certain situations, for instance, if the patient has a particular condition that necessitates a tailored approach to massage.
D. An interdependent nursing action: Interdependent nursing actions are those that require collaboration with other healthcare team members. These actions involve working together with physicians, therapists, and other professionals to ensure comprehensive patient care. While collaboration is essential in healthcare, giving a back massage is generally not considered primarily interdependent; it's more about the nurse's individual skill unless there are specific medical considerations that require interprofessional collaboration.
Correct Answer is B
Explanation
A. Developed by an RN:
This option suggests that an RN (Registered Nurse) is solely responsible for creating the initial care plan. While nurses significantly contribute to the care plan, it is often a collaborative effort involving various healthcare professionals, including doctors, nurses, and other specialists.
B. Completed on the day of admission:
This choice means that the initial care plan, outlining the patient's immediate healthcare needs and interventions, is developed and documented on the day the patient is admitted to the healthcare facility. It's essential to establish a plan promptly to ensure the patient receives appropriate and timely care.
C. Used as the basis of care throughout a hospital stay without alteration:
This option suggests that the initial care plan remains unchanged throughout the patient's hospital stay. However, healthcare plans need to be dynamic, adapting to the patient's evolving condition. Care plans are continuously assessed and modified based on the patient's response to treatments and interventions.
D. Developed by the primary care provider and incorporated into the nursing care:
This choice implies that the initial care plan is created by the primary care provider (which could be a doctor) and then integrated into the nursing care. While doctors provide medical diagnoses and orders, nurses play a crucial role in implementing and coordinating the care plan, ensuring the patient's needs are met.
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